HomeMy WebLinkAboutPermit Electrical 1993-5-28
225 FIFTH STREET ,. ",wal.
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769Ino
OFFICE: 726-3759 D~9 rl~Lts
1. LOCATION OF INSTAt~TIQNSlgnature
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A.
LEGAL DESCRIPTION
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,,!gB DESCRIPTION .
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Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor (;/Jru;T;'.,I;J!
Address PO~ 1/ t9/Jq
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Phone 1./ff:-r:~/7!c,/
Supervisor License Number .5"7 "ecr
Expiration Date /t:1- 30-- 9~
City Job Number ~~~'CL--
COMPLETE FEE SCHEDULE BELOII q 3CJ.oB
New Residential-Single or
Multi-Family per dwelling
Service Included:
Items
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
B. Services or Feeders
Installation, Alterations
Relocation:
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
unit .
Cost Sum
$ 85.00
$ 15.00
$ 40.00
or *
'"
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Constr Contr. Number ~-/~7 cLE= Installation, Alteration or Relocation
. Signature of Supervising Electrician
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. ^f\rJI i\f\nA\/"Onl ) D. BranchCircuits
Owners Name ~.~;U I ~ \ 1\ . I ~ l YJ'I .IL../
Address 401 r\. -royy\.nh(Ut}l~'S ~ Alteration or Extension Per Panel
~\~A.-- . One Circui t $ 35.00
City VI lYl _ Phone Each Additional
. L,n~'l\-l Circuit or with Service
01lNER INSTALLATio'N' or Feeder Permit
Expiration Date
9-1}3
The 'installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE:
1U:.\..t.1PT II:
RECEIVED BY:
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200 amps
201 amps
Over 401
Over 600
or less
to 400 amps
to 600 amps
amps or 1000
volts
$ 40.00
$ 55.00
$ 80.00
see "B",
above
$
2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limi ted Energy/Comm I $ 36.00 3~,m
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
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